lOMoAR cPSD| 16310474
NURS 6512 Week 9 iHuman Case: 26-Year-Old
Patient With Headache – Assessment,
Diagnosis, and Guide”
“Complete NURS 6512 Week 9 iHuman case guide for a 26-year-old
patient with headache, including assessment, differential diagnoses
• NURS 6512 Week 9 iHuman
• iHuman headache case study
• 26 year old with headache
Patient Information
• Initials: A.M.
• Age: 26 years
• Gender: Female
• Ethnicity: Caucasian
• Date of Encounter: Week 9
• Source of History: Patient (reliable)
, S – Subjective
Chief Complaint (CC):
“Severe headache that hasn’t gone away for three days.”
History of Present Illness (HPI):
A.M. is a 26-year-old Caucasian female presenting with a headache that
began three days ago. The headache is described as a throbbing, bilateral
frontal pain rated 7/10 in severity. The pain developed gradually and has
been persistent, with intermittent worsening. The patient reports associated
photophobia, phonophobia, and mild nausea, but denies vomiting. She
states the headache worsens with bright lights and stress and improves
slightly with rest in a dark room. Over-the-counter acetaminophen provided
minimal relief. She denies fever, neck stiffness, head trauma, visual
changes, weakness, numbness, dizziness, or loss of consciousness. No
recent infections reported. She reports increased academic stress and poor
sleep over the past week.
Past Medical History (PMH):
• Migraine headaches (diagnosed at age 22)
• No chronic illnesses
**Past Surgical History (PSH):
• None
Medications:
• Acetaminophen 500 mg PRN headache
• Oral contraceptive pill (ethinyl estradiol/levonorgestrel)
Allergies:
• No known drug allergies (NKDA)
Family History (FH):
• Mother: Migraine headaches
• Father: Hypertension
• No family history of stroke or neurological disorders
Social History (SH):
• Occupation: Graduate student
• Tobacco: Denies
NURS 6512 Week 9 iHuman Case: 26-Year-Old
Patient With Headache – Assessment,
Diagnosis, and Guide”
“Complete NURS 6512 Week 9 iHuman case guide for a 26-year-old
patient with headache, including assessment, differential diagnoses
• NURS 6512 Week 9 iHuman
• iHuman headache case study
• 26 year old with headache
Patient Information
• Initials: A.M.
• Age: 26 years
• Gender: Female
• Ethnicity: Caucasian
• Date of Encounter: Week 9
• Source of History: Patient (reliable)
, S – Subjective
Chief Complaint (CC):
“Severe headache that hasn’t gone away for three days.”
History of Present Illness (HPI):
A.M. is a 26-year-old Caucasian female presenting with a headache that
began three days ago. The headache is described as a throbbing, bilateral
frontal pain rated 7/10 in severity. The pain developed gradually and has
been persistent, with intermittent worsening. The patient reports associated
photophobia, phonophobia, and mild nausea, but denies vomiting. She
states the headache worsens with bright lights and stress and improves
slightly with rest in a dark room. Over-the-counter acetaminophen provided
minimal relief. She denies fever, neck stiffness, head trauma, visual
changes, weakness, numbness, dizziness, or loss of consciousness. No
recent infections reported. She reports increased academic stress and poor
sleep over the past week.
Past Medical History (PMH):
• Migraine headaches (diagnosed at age 22)
• No chronic illnesses
**Past Surgical History (PSH):
• None
Medications:
• Acetaminophen 500 mg PRN headache
• Oral contraceptive pill (ethinyl estradiol/levonorgestrel)
Allergies:
• No known drug allergies (NKDA)
Family History (FH):
• Mother: Migraine headaches
• Father: Hypertension
• No family history of stroke or neurological disorders
Social History (SH):
• Occupation: Graduate student
• Tobacco: Denies
